by Dr Robbins | Dec 17, 2002 | Uncategorized
A spate of recent double blinded, controlled trials for herbal therapies have, unfortunately, not turned out so well. A large European study, of over 600 patients, concluded that Feverfew was only mildly, if at all, effective for headache. Gingko was in the news...
by Dr Robbins | Dec 17, 2002 | Uncategorized
The main abortives for clusters remain: triptans (Imitrex, Maxalt, etc.), oxygen analgesics lidocaine nasal spray ergots. Triptans do work the best, particularly Imitrex injections (many cluster sufferers get by with 2 or 3mg, which is half of a vial). Oxygen,...
by Dr Robbins | Dec 15, 2002 | Uncategorized
Weather changes are one of the top triggers for headache; about 40% of people with migraine feel that weather is a factor in their headaches. It is usually when a front is coming in, the pressure drops, and people state that they can ‘feel it’ with their...
by Dr Robbins | Dec 14, 2002 | Uncategorized
Caffeine is a ‘double-edged’ sword. Too much (or in some very sensitive individuals, any) will cause headaches, while some will help headaches. Caffeine is used as an ‘adjunct’ to certain analgesics (65mg of caffeine in Excedrin, 32mg in...
by Dr Robbins | Dec 14, 2002 | Uncategorized
As with fibromyalgia, irritable bowel syndrome (IBS) is seen in higher percentages of headache patients than in others. IBS may present with a myriad of symptoms, from constipation/diarrhea to acid reflux to gastritis. The key from a physician’s standpoint is...
